Knee and/or hip joint destruction in rheumatoid arthritis is associated with HLA-DRB1*0405 in Japanese patients

To determine the prognostic factors for knee and/or hip joint destruction i n rheumatoid arthritis (RA) patients, we typed 379 RA patients for HLA-DRB1 alleles and analysed the antigen frequencies. The DRB1*0405 antigen freque ncy in RA patients who underwent total knee replacement and/or total hip re placement was significantly higher than in those who did not have replaceme nts, which meant that DRB1*0405 was associated with knee and/or hip joint d estruction. This finding may be of value for predicting knee and/or hip joi nt destruction in RA.